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Updated: Feb 10, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
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Extended Pelvic Lymph Node Dissection in Bladder Cancer.

Roger Li1, Firas G Petros1, John W Davis1

  • 1Department of Urology, The University of Texas MD Anderson Cancer Center , Houston, Texas.

Journal of Endourology
|May 19, 2018
PubMed
Summary
This summary is machine-generated.

Robot-assisted extended pelvic lymph node dissection (ePLND) offers comparable outcomes to open surgery for bladder cancer. This guide details techniques to achieve optimal lymph node yield for improved patient survival.

Keywords:
bladder cancerextended pelvic lymph node dissection

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Area of Science:

  • Urology
  • Surgical Oncology

Background:

  • Radical cystectomy and extended pelvic lymph node dissection (ePLND) are standard treatments for muscle-invasive bladder cancer.
  • ePLND is crucial for both node-positive and node-negative patients, with higher nodal yield correlating with improved survival.

Purpose of the Study:

  • To review the rationale and evidence for ePLND in bladder cancer treatment.
  • To compare robot-assisted (RA) ePLND with open ePLND.
  • To provide a detailed guide for performing RA ePLND.

Main Methods:

  • Literature review of Medline and PubMed for bladder cancer, ePLND, and RA ePLND.
  • Creation of a step-by-step video guide of RA ePLND with narration.
  • Identification and illustration of key anatomical landmarks for dissection.

Main Results:

  • ePLND, aiming for 10-14 lymph nodes, significantly impacts bladder cancer treatment outcomes.
  • Evidence supports the equipoise between RA ePLND and open ePLND.
  • The study details surgical steps, port placement, exposure, and dissection of key nodal packets.

Conclusions:

  • Robot-assisted ePLND is a viable alternative to open ePLND.
  • The provided techniques aim to assist robotic surgeons in achieving the recommended nodal yield.
  • Adherence to these techniques can enhance surgical proficiency and patient outcomes in bladder cancer management.